Tag Archives: treatments

Hand Pain Treatment in San Francisco

Hand Pain Treatment in SF

Hand Pain Treatment in San Francisco Downtown

We have been providing natural hand pain treatment in downtown San Francisco for 22 years now in the Financial District. 

Most of our patients spend the majority of their day sitting in front of a computer doing repetitive movements with their arms and hands.  In addition, they are mostly under the stress of meeting deadlines and are expected to perform at a very high level.

On top of this, many of our patients are actively involved in sports and hobbies that require repetitive use of the upper extremities like weight lifting, cross-fit, cycling, and tennis.

This is the reason hand pain is so common with office workers and urbanites. Not to mention the fact that most of us then go home and spend more time on the computer. In fact, many are connected on the way to and from work. OUCH!

In my experience, the source of the hand pain is typically a combination of pressure on the nerves in the neck that innervate (connect to) and control the hand, and pressure in the wrist on the median nerve in the carpal tunnel. This is called “Double Crush Syndrome” and is one of the more common conditions we treat.

Many doctors and physical therapist have a good understanding of this condition but lack the ability to successfully treat it. In my opinion…and I have treated provided hand pain treatment to over 5000 patients, treatment must include the neck, shoulders, elbows, wrists, and fingers on both sides. It is also important to make sure the rest of the spine is in proper alignment and the legs are even. A short leg can cause muscle tension in the neck and lead to pinched nerves.

Our hand pain treatment will usually include chiropractic adjustments to the neck, shoulders, arms, and hands, as well as myofascial release, cervical traction, custom exercises, and ergonomic instruction. We will also address sleeping postures and nutrition. It all matters.

A hand pain treatment visit at our chiropractic center takes about 30 minutes. In the event of severe hand pain or injury from trauma, we may refer you to one of our physical therapist or medical doctors , either onsite or at another location. We also may need to take x-rays or perform diagnostic tests to quantify your problem.

The bottom line is this…when it comes to hand pain treatment not all chiropractors, medical doctors or physical therapist are equal…experience matters!

To schedule an appointment for hand pain treatment in San Francisco please call 415-392-2225.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Fibromyalgia – Do We Really Know The Cause?


Fibromyalgia body pain treatment SF
We have been offering natural solutions for Fibromyalgia in San Francisco for over 20 years.

Fibromyalgia
(FM) is a condition that is characterized by widespread pain, fatigue and an
increased pain response. Symptoms can include tingling of the skin, muscle
spasms, weakness in the arms and legs, nerve pain, muscle twitching, bowel
disturbances, chronic sleep disturbances, and more. So, what can cause such a
widespread, whole body condition? Though the “cause” of FM is unknown, several
hypotheses have emerged. Here is what we know:

 

1.     The brains of FM patients: Structural and functional differences
have been identified in the brains of FM vs. healthy individuals. What is
unclear is whether these identifiable brain changes cause the FM symptoms or
are the result of an unknown cause. Some experts have reported that the
abnormal brain findings may be the result of childhood stress, or prolonged,
severe stress at any time in life. An area commonly affected is called the
hippocampus, which plays a crucial role in maintaining cognitive functions,
sleep regulation, and pain perception.

2.
Lower pain threshold: Due to an increased reactivity of
pain-sensitive nerve cells in the spinal cord and brain (called “central
sensitization), FM patients feel pain sooner and worse than non-FM subjects.

3.
Genetic predisposition: It has been reported that FM is often
found in multiple family members. This genetic propensity also includes other
conditions that often co-exist in FM patients such as chronic fatigue syndrome,
irritable bowel syndrome (IBS), and depression.

4.
Stress & lifestyle: Stress by itself may be an important
cause of FM. It is not uncommon to develop FM after suffering from
post-traumatic stress disorder. An association between physical and sexual
abuse both in childhood and adulthood has also been identified. Poor lifestyle
issues including smoking, obesity, and lack of physical activity increase the
risk of developing FM.

5.   Dopamine dysfunction: Dopamine is a chemical needed for
neurotransmission and plays a role in pain perception. It is also connected to
the development of restless leg syndrome (RLS), which is a frequent complaint
of FM patients. Medications found effective for RLS such as pramipexole (also
used for the treatment of Parkinson’s disease) can be helpful for some FM
patients.

6.  Abnormal serotonin metabolism: Another neurotransmitter, serotonin,
regulates sleep patterns, mood, concentration, and pain and can be involved in
causing FM. Decreases in other neurotransmitters (especially norepinephrine),
when combined with serotonin depletion, can especially cause FM (more so in
women than men). Hence, medications like duloxetine (Cympalta) originally used
to treat depression and painful diabetic neuropathy, have been found to help FM
patients, especially women.

7.
Deficient growth hormone (GH) secretion: Abnormal levels of GH have been found in
FM patients, but studies report mixed results when treating FM with GH.

8.
Psychological factors:
Strong evidence supports
the association of FM and depression. Similarities include neuroendocrine
abnormalities, psychological characteristics, physical symptoms and similar
treatment benefits using the same approach (medication, counciling, etc.).

9.
Physical Trauma: Trauma can increase the risk of FM. One
report found a direct association with neck trauma and increased risk of
developing FM.

10.   Small
bowel bacterial overgrowth
:
This can contribute to FM and may explain the association with IBS. The
autoimmune response to the presence of bacteria resulting in FM symptoms has
been hypothesized in these cases.

            CONCLUSION:
As previously stated, it is clear that a “team” of providers is needed to
effectively treat FM. We’d be honored
to be part of your team and we have medical doctors that specialize in FM that we can refer you to if needed.

            If you, a friend or family member
requires care for FM, we sincerely appreciate the trust and confidence shown by
choosing our services!

To schedule an appointment with one of our San Francisco Fibromyalgia experts please call 415-392-2225. Our chiropractors are capable of quarterbacking or just being a part of your FM team.

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Headaches Treatment with Chiropractic


Headaches treatment in san francisco financial districtWe have been providing natural headaches treatment with chiropractic in downtown San Francisco since 1992.

Did you
know that 9 out of 10 Americans suffer from headaches? There are many different
types of headaches with a multitude of symptoms including achy, throbbing,
nausea, vomiting, dizziness, numbness, blinding, noise, light and/or odor
sensitivity, and more. The causes of headaches can include genetics (familial traits
like migraine headaches), stress or tension (probably one of
the most common), environmental (allergies, seasonal, bright sunlight, loud
noises, certain foods), behavioral (insomnia, excessive
exercise, blood sugar problems, depression), and many more.

            Environmental factors can “trigger”
the onset of a headache. About 95% of headache sufferers have “primary
headaches” such as tension, migraine, or cluster headaches. The other 5% may be
caused by other physical conditions or problems and the headache serves as a
“warning sign” that something else is wrong. The “key” in the 5% of potentially
dangerous types of headaches is to pay attention to when there is a rapid onset
(“…it came out of nowhere fast!”), if they are very intense, and are
“different” from other headaches previously suffered. When nervous system
symptoms occur that are unusual for that person, such as lapses in memory, the
person is not responding, rapid onset of dizziness, balance disturbance,  and/or a “blinding sharp pain,” these should
trigger a warning sign that something specific and potentially dangerous may be
causing the headache.

            For the main 95% of headaches
sufferers, neck tension is a common complaint with the headache. Research
supports that spinal manipulative therapy (SMT), the primary form of care
utilized by chiropractors, is an effective option for tension headaches. A 2001
Duke University study reported that SMT
resulted in almost immediate improvement for those headaches originating in the
neck, had fewer side effects, AND longer-lasting relief of tension-type
headaches compared to those receiving commonly prescribed medication. Another
study found that SMT was effective, not only for relieving the headache, but
had a sustained benefit AFTER it was discontinued after a 4-week treatment
period. This was NOT seen in a similar tension-type headache group receiving
prescribed medication treatment only.

            Here is how to help yourself:

 

1.
Improve your posture: Most of us are “chin pokers” and
“slouchers.” The weight of the head pulls on the neck and upper back muscles
and when held in that fixed position while driving, typing, watching TV, the
static muscle tension can create a headache.

2.
Take “mini-breaks” every 30-45 minutes from static fixed
positions and perform some exercises. A good stretch is to reach over to the
opposite side of the head and gently pull to stretch the sides of the neck.
Repetitively, poke and tuck your chin in & out to stretch different muscle
fibers. Then, add flexion, extension and/or rotation to the same movements for
about 10 sec./side. Try it now!

3.
Avoid clenching your teeth and shrugging your shoulders. We do
these things without being conscious that we’re even doing it. Those static
loads play havoc with our neck muscles. 

4.    Drink plenty of water – at least 8 oz., 8x/day (more when
exercising or pregnant). If you want to be more accurate, take your current
weight and divide by 2. (Eg., 130# person = 65oz./day; 190# = 95oz./day).

5.
If
you have chronic headaches, COME SEE US!
This is what we do, and it helps A LOT!

             We realize that you have a choice in
where you choose your healthcare services.
If you, a friend or family member requires care for headaches, we
sincerely appreciate the trust and confidence shown by choosing our services
and look forward in serving you and your family presently and, in the future.

To schedule an appointment with one of our San Francisco Headaches Doctors please call 415-392-2225. Mention this blog post for a complimentary consultation.

Altadonna
Communications ©

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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A Patient’s Headaches Treatment Story

Treatments for Headaches in San FranciscoOur San Francisco Chiropractor  “Patient of the Week”. Treatment for headaches story. Antone reported
to our clinic about a month ago with a terrible migraine headache that
he had been suffering with for two weeks.  The pain was getting so
intense that it was interfering with his ability to sleep, made it
difficult to work at times, and made it hard to relax and enjoy his free
time.  Life was just miserable and nothing seemed to help.

After trying everything else and not getting lasting results,
Antone decided to give chiropractic care a try.  After his first
treatment, Antone reported a 50% decrease in pain!  Dedicated to getting
better and out of pain, Antone followed the treatment plan his doctor
recommended and continued to improve after each visit.

We are SO happy
and excited to announce that Antone has been migraine and headache-free
for the last week!  Knowing he never wants to feel pain like that again,
Antone has elected to continue to receive maintenance care to keep his
spine healthy and moving properly.  Great job, Antone!

We have been providing treatment for headaches in San Francisco since 1992. During this time we have helped thousands of patients with tension and migraine headaches return to normal healthy lifestyles.

To make an appointment with one of our headaches doctors in San Francisco please call 415-392-2225. Mention this patient review for a complimentary consultation. 

Dr. Eben Davis

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Study: Torn Knee Ligaments Heal Without Surgery

 


Knee pain treatment san franciscoSan Francisco-
If you suffer with low back pain, you are about
to discover some very important information about potential causes and
treatments.  But first, researchers have
discovered something very important you should know about "anterior cruciate
ligament" (ACL) injuries…

The ACL is one of the major supporting ligaments
of the knee.  You may or may not know,
but one of the most feared injuries an athlete (or anyone else) can suffer from
is a torn ACL.

When it is
torn, the knee is usually left unstable. 
In other words, the ACL ligament helps keep the bones of the knee joint
together.  When there is a tear, the
bones can actually separate or dislocate. 
This can happen when an athlete or person lands from a jump, tries to
stop or attempts to change directions suddenly. 
Sometimes, the knee will just “give out” without warning while simply
walking.

When a knee
is injured, an MRI is often used to help diagnose the problem.  If the MRI shows a torn ACL, it has been
common practice for most doctors to recommend surgery to replace the ACL with
either a cadaver ACL or one made from the person’s own patellar tendon, or
Hamstring tendon.

This is
MAJOR surgery with extensive and lengthy rehabilitation.  Even an athlete in his or her physical prime
may not be able to resume their sport for a minimum of six months.

Surgery for
a torn ACL has been the common treatment because it was believed that once an
ACL was torn, it could not heal.  Now
researchers say this is not true.

In fact, in
a study that appeared online before its publication in the journal Knee Surgery Sports Traumatology Arthroscopy, researchers at the
Hospital for Special Surgery in New
York found that surgery shouldn’t be the first option
for some cases. They found solid evidence that the ACL can, in fact, heal
itself WITHOUT surgery. 

According to
Robert Marx, MD, an orthopedic surgeon in the Sports
Medicine and Shoulder Service at Hospital for Special Surgery (HSS), Some patients who tear their ACL while skiing can get away
without surgery.  Their ligament heals by
itself, they will have stable knees, and they will be able to do whatever they
want, including skiing. It is a huge deal to avoid surgery.”

Dr. Marx
also stated that patients who tear their ACL during recreational skiing should
not rush into surgery.  They should wait
6-12 weeks and be re-evaluated unless there is another obvious reason for
surgery.

The study
found two orthopedic tests that should be performed by a skilled physician to
determine if the patient will need surgery or if the ACL can heal without it.

These two
tests are “Lachman” and “pivot shift test.” 
These tests assess the integrity of the ACL, and if these two tests are
negative, a good outcome and normal knee anterior laxity at more than 2 years
after the injury is expected… without surgery.

A quick and
important side note about this study:  It
was performed on recreational Alpine skiers. 
Researchers noted that ACL tears from skiing are often less traumatic
than other sports.  For example, the
level of knee injury can be much greater in football or soccer.

This does
not mean that an ACL tear from these sports cannot heal without surgery; it
means THIS PARTICULAR STUDY ACKNOWLEDGES THAT THERE IS A DIFFERENCE.  Of course, not all ACL tears in football,
soccer, and similar sports are super traumatic. 
The answer is to have your knee examined by a qualified and skilled
physician who is up-to-date on the research and will assess your knee and give
you the best recommendation for your individual case.

What Does
All This Have To Do With Back Pain?

A lot,
actually.  There are two very big take
home messages from the information above.

First,
doctors are not always right.  The best
doctors use the best and most current research in an attempt to give the
patient the best recommendations and treatments possible.

That is, of
course, limited to the current research. 
No matter what some people think, science (and research) is not
magic.  It does not have all the answers,
especially when it comes to the complexities of the human body.

The ability
of the ACL to heal itself is a great example, but it is not the only one.

The body is
truly amazing, and one of the most amazing things is its incomprehensible
ability to heal itself.

Often, this
means doing less, not more. This is one of the most difficult things for
injured or sick people to understand.

When sick or
injured, many people believe something must be done or the more treatment, the
better.  In reality, in many cases, the
less the doctor does and the quicker he or she gets out of the way, the better.

This Is Often The Best Option

For Back And Neck Pain

Many
Chiropractors are proud that their treatments help back and neck pain.  This, however, is not true.  If you understand how the body works and its
amazing ability to heal itself, you will also understand that the reason why
some Chiropractors have so much success with back and neck pain is because they
simply do as little as possible and then get out of the way and let the body do
its magic.

They
understand that their “treatments” do not get rid of pain.  Their “treatments” simply remove a roadblock
or roadblocks the body had to healing itself.

That’s why
they will recommend the LEAST treatments possible and re-evaluate.  Their goal is to get you out of pain and out
of their office as fast as possible… not commit you to huge and expensive
treatment plans that last months or even years.

Of course,
some patients have more serious causes of back or neck pain and need more
care.  Every case is individual and
should be approached that way.  But the
results can be incredible if your Chiropractor simply removes the roadblock,
steps aside, and lets the REAL healer take over.

Altadonna Communications ©

There are also modern technologies to speed up soft tissue healing and recovery such as deep tissue laser therapy and nonsurgical spinal decompression.

To find out if you are a candidate for care at our San Francisco Chiropractic Clinic please call 415-392-2225

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Whiplash – Which Treatment Is Best?

Whiplash treatment san francisco San Francisco: Whiplash, or better termed, cervical acceleration-deceleration disorder (CAD) is primarily an injury to the soft tissues of the neck – that is, the muscles, their tendon insertions, and the ligaments that hold the joints firmly together.  Neck pain is a very common health problem that affects between 10–15% of the population and drives people to all types of health care providers. We have previously discussed the reasons why whiplash /CAD injuries occur, the examination process and the prognosis aspects…but the argument continues as to what treatment methods work the best when managing patients with CAD.

            In the May 21, 2002 issue of the Annals of Internal Medicine, a group of medical doctors and PhD’s reported on neck pain treatment comparing traditional medical and physical therapy approaches verses spinal manipulation. In the study, they compared three common neck pain treatment approaches in a group of 183 patients with chronic neck pain (patients who had neck pain for more than 3 months). The 3 methods included traditional medical care which included medication utilization and rest, manual therapy (chiropractic adjustments) and physical therapy (active exercise training). After 7 weeks of treatment, the percentage of patients who felt either totally resolved (cured) or much improved were 68.3% receiving manual therapy / chiropractic care, 50.8% receiving physical therapy, and 35.9% receiving medical care. The author, Jan Lucas Hoving, PhD reports that manual therapy / chiropractic was found to be more effective than the other 2 methods “…on almost all outcome measures,” not just a few! Further, although PT scored better than traditional medical care, “…most of the differences were not statistically significant,” meaning, not that much better.  The authors appropriately reported that further study was needed to better understand the differences between methods.

            In 2008, the “Decade Task Force” reviewed 10 years of studies on the treatment of neck pain and found similar results and referenced many studies that indicated spinal manipulation for neck pain, headaches, whiplash, and other neck related conditions was one of the most effective methods and that patients with neck pain should be given the option of receiving manual therapy / chiropractic before other approaches as it was found to be less expensive, faster in obtaining satisfying results (shorter course of disability), and most effective in terms of long-term benefits.

            This comparison discussion is by no means meant to minimize the importance of medical and PT care. However, there appears to be a bias among patients with neck pain to seek medical care first when the studies clearly show chiropractic care is the preferred method. Hence, the purpose of this article is to educate the reader that their choice in treatment for neck pain should favor chiropractic care FIRST, not last. In fact, the sooner manipulation can be applied to the injured joints of the neck, typically the faster the results.  For example, long term disability and chronic neck pain can occur from prolonged use of a cervical collar as the structures tighten and stiffen up from being immobile – unable to move because of the collar.  Unless there is some unstable condition to the neck (fracture, grade 3 ligament tear, progressive neurological loss, etc.), studies support manipulation / early mobilization of the neck joints after injuries like whiplash verses wearing a cervical collar and rest. 

            We realize that you have a choice in where you choose your health-care services.  If you, a friend or family member requires care for whiplash, we sincerely appreciate the trust and confidence shown by choosing our chiropractic services in San Francisco and look forward in serving you and your family presently and, in the future.

To schedule a complimentary consultation with one of our San Francisco Whiplash Doctors, please call 415-392-2225 and mention this blog post.

San francisco chiropractor reviews citysearch

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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Got the Back Pain Blues?

San Francisco Chiropractor Comments:

Back pain san francisco Back pain effects over 80% of us at some point in our lives. Many back pain sufferers go on to suffer with chronic back pain…which is pain in the back that persists for more than 90 days.

Low back pain is the most common spinal ailment. If low back pain becomes chronic it may mean there is underlying degenerative disc disease, bulging discs, or maybe even a herniated disc. Sciatica or leg pain often develops with chronic low back pain which can really make life miserable.

Recently, I received an inquiry from Belgium from a gentleman who's wife is suffering with severe low back pain and sciatica. Medical treatment is not helping and there are no chiropractors or spinal decompression machines close by. OUCH!

No such problem in the San Francisco Bay Area…there are spinal decompression machines all over the place. I'm not sure if all the doctors that have them know how to use them…but they are here.

The disc decompression machine we use at Executive Express Chiropractic is the DRX9000. The DRX9000 is designed and built to treat disc herniations, disc bulges, facet syndrome, and disc degeneration without surgery. We use the DRX9000 along with chiropractic, massage, laser, and exercise. It's a great combination of treatments for chronic back pain, sciatica, and pinched nerves.

Back pain patients are lucky here in the states…they have access to the latest and greatest technologies, like the DRX9000.

Most of the time, back pain can be helped with conventional chiropractic adjustments. According to Consumer Reports, chiropractic is the treatment of choice for back pain. Spinal decompression is the treatment of choice for chronic back pain and sciatica due to herniated or bulging discs (causing pinched nerves) that do not respond to chiropractic as a stand alone treatment. 

Deep tissue laser therapy turbo charges both chiropractic and spinal decompression by accelerating the healing process, increasing circulation, decreasing inflammation and muscle spasms, and promoting new cellular growth.

The trifecta of spinal decompression, chiropractic adjustments, and laser therapy, is very powerful and can achieve favorable outcomes with chronic back pain even when all hope is lost.

So there you go. If you are going to be suffering with back pain…or low back pain and sciatica…or pinched nerves due to ruptured degenerated discs…just be glad you live in the US of A…hopefully near a non-surgical spinal decompression machine :-)

Dr. Eben Davis is clinic director of Executive Express Chiropractic and Spinal Decompression in downtown San Francisco. To schedule an appointment call 415-392-2225.

Directions and reviews San Francisco Chiropractor and Spinal Decompression

 

Eben Davis

I am a Chiropractor in the San Francisco Financial District specializing in chronic neck, arm and hand pain. I also treat herniated discs using spinal decompression, whiplash, sports injuries, headaches, and Fibromyalgia. My clinic is certified in the use of Deep Tissue Laser Therapy with the LiteCure LCT-1000 for conditions such as shoulder pain, TMJ and Plantar Fasciitis. I have been in practice for over 20 years.

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